MARK T MACIAS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000318

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

MACIAS

Business Name

MARK T MACIAS

Original Issue Date

03/06/1990

Expiration Date

03/06/1994

City

GODFREY

State

Zip

62035

Ever Disciplined

LastModifiedDate

03/11/2025